Robert Smith

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA0013241 Issued in CO

Practice address

2911 Junction St
Durango, CO 81301-4134

Phone

(850) 624-4206

NPI assigned

Jul 3, 2015

Last updated

Jul 3, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435881600000",
    "number": "1114300589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 JUNCTION ST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014134",
            "telephone_number": "850-624-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 JUNCTION ST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014134",
            "telephone_number": "850-624-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-03",
        "last_updated": "2015-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "PTA0013241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall R. E. Smith, MA, LPC
• Lauren Marie Smith, PHD
• Matthew Clifford Smith, M.D.
• Matthew Winchester Smith
• Richard Graham Smith, MD
• Victoria Smith, LCSW
• Cate Smock
• Matthew Richard Smolin, MD
• Logan Smolla, PHARMD
• Alexandria Snowden

• Physical Therapy Assistant in Durango, CO
• Providers in Durango, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.